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Individual

MARY SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 353-1955
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
237601
LA
363LP0200X
Pediatric Nurse Practitioner
2016036671
MO
363LP0200X
Pediatric Nurse Practitioner
77447
KS
363LP0200X
Pediatric Nurse Practitioner
NP95036797
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1194744
TX

Other

Enumeration date
09/26/2016
Last updated
12/18/2025
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